Individual provider Active NPI

Razaali H Mamdani, M.D.

  • Specialist
  • Watervliet, NY
National Provider Identifier
1760587067
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
141711 Issued in NY
Practice address
1500 2ND Ave
Watervliet, NY 12189-2800
Phone
(518) 272-0028
Fax
(518) 272-4859
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 141711 NY Primary

Addresses

Primary practice location

1500 2ND Ave
Watervliet, NY 12189-2800

Mailing address

1500 2ND Ave
Watervliet, NY 12189-2800
Phone (518) 272-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000693 NY Practitioner - Internal Medicine 3274716535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 2ND Ave
Watervliet, NY 12189-2800
Phone (518) 272-0028

Hospital & facility affiliations

  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

Merit-based Incentive Payment System (MIPS)

Final score
49.05 of 100Reported as individual
Quality
52.42
Improvement activities
0
Cost
87.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141711NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Razaali H. Mamdani, MD, PLLC CurrentSince Dec 12, 2015 Accepting new patients

Locations

1500 2nd Ave
Watervliet, NY 12189
Phone (518) 272-0027

Interoperability endpoints

  • Direct secure messaging: razamamdani@hsmg.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1760587067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 2ND AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892800",
            "telephone_number": "518-272-0028",
            "fax_number": "518-272-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 2ND AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892800",
            "telephone_number": "518-272-0028",
            "fax_number": "518-272-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMDANI",
        "first_name": "RAZAALI",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "141711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

Verify at the official NPI Registry.